| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
202 |
121 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
318 |
213 |
$14K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
81 |
59 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
81 |
59 |
$4K |
| 59025 |
Fetal non-stress test |
115 |
95 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
19 |
13 |
$535.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
18 |
$511.78 |